Naila Mushtaq Ahmed, Mushtaq Ahmed Shahid, Mehak Ahmad, Asad Shaheer Khan.
Three Cases of Morbidly Adherent Placenta; a Catastrophe after Delivery.
Pak J Med Health Sci Jan ;13(2):503-6.

Three cases of morbidly adherent placenta have been described. All the three patients presented in different clinical scenarios. First patient presented with dehiscence of the previous scar and torrential bleeding from the placental bed after the delivery of the baby at L.S.C.S. The patient was managed with suturing of placental bed with figure of eight sutures, blood replacement and uterotonics. The patient made an uneventful recovery after surgery. The second patient presented with retained placenta after normal delivery of a female baby. Placenta was removed piecemeal under GA due to prolonged third stage. It came out piecemeal and few parts were not removable. Luckily vaginal bleeding was moderate. The patient was shifted to higher center where she remained under observation and made an uneventful recovery. The third patient presented with complete inversion of uterus after the delivery of baby during L.S.C.S this particular patient also had adherent placenta that was removed manually and bleeding controlled with uterotonics and suturing of placental bed.

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